Differences in Sleep Disorders between HIV-Infected Persons and Matched Controls with Sleep Problems: A Matched-Cohort Study Based on Laboratory and Survey Data
Objectives: Sleep disturbances are prevalent problems among human immunodeficiency virus (HIV)-infected persons. The recognition of comorbid sleep disorders in patients with HIV is currently hampered by limited knowledge of sleep-related symptoms, sleep architecture, and types of sleep disorders in...
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MDPI AG
2021
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oai:doaj.org-article:32c6105352904ece9f02a22560ac49992021-11-11T17:48:50ZDifferences in Sleep Disorders between HIV-Infected Persons and Matched Controls with Sleep Problems: A Matched-Cohort Study Based on Laboratory and Survey Data10.3390/jcm102152062077-0383https://doaj.org/article/32c6105352904ece9f02a22560ac49992021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5206https://doaj.org/toc/2077-0383Objectives: Sleep disturbances are prevalent problems among human immunodeficiency virus (HIV)-infected persons. The recognition of comorbid sleep disorders in patients with HIV is currently hampered by limited knowledge of sleep-related symptoms, sleep architecture, and types of sleep disorders in this population. We aimed to compare the differences in sleep-related symptoms and polysomnography-based sleep disorders between HIV-infected persons and controls. Methods: The study evaluated 170 men with a Pittsburgh sleep quality index scores greater than 5, including 44 HIV-infected men and 126 male controls who were frequency-matched by sex, age (±3.0 years) and BMI (±3.0 kg/m<sup>2</sup>). For all participants, an overnight sleep study using a Somte V1 monitor was conducted. Differences in sleep-related symptoms and sleep disorders between HIV-infected patients and controls were examined using t-tests or chi-square tests. Results: HIV-infected persons with sleep disturbances more often had psychological disturbances (72.7% vs. 40.5%, <i>p</i> < 0.001) and suspected rapid eye movement behavior disorder (25.0% vs. 4.8%, <i>p</i> < 0.01) than controls. Sleep-disordered breathing was less common in HIV-infected persons than in controls (56.8% vs. 87.3%, <i>p</i> < 0.001). The mean percentage of rapid eye movement sleep was higher among HIV-infected patients than among controls (20.6% vs. 16.6%, <i>p</i> < 0.001). Nocturia was more common in HIV-infected persons than in controls (40.9% vs. 22.2%, <i>p</i> = 0.02). Conclusions: Psychological disturbances and sleep-disordered breathing can be possible explanations of sleep disturbances in HIV-infected persons in whom sleep-disordered breathing is notable. Further studies are warranted to examine the underlying factors of rapid eye movement behavior disorder among HIV-infected persons with sleep disturbances.Yen-Chin ChenChang-Chun ChenPatrick J. StrolloChung-Yi LiWen-Chien KoCheng-Yu LinNai-Ying KoMDPI AGarticleHIVsleep disordersmatched controlssleep-disordered breathingpsychological disturbancesrapid eye movement behavior disorderMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5206, p 5206 (2021) |
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HIV sleep disorders matched controls sleep-disordered breathing psychological disturbances rapid eye movement behavior disorder Medicine R |
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HIV sleep disorders matched controls sleep-disordered breathing psychological disturbances rapid eye movement behavior disorder Medicine R Yen-Chin Chen Chang-Chun Chen Patrick J. Strollo Chung-Yi Li Wen-Chien Ko Cheng-Yu Lin Nai-Ying Ko Differences in Sleep Disorders between HIV-Infected Persons and Matched Controls with Sleep Problems: A Matched-Cohort Study Based on Laboratory and Survey Data |
description |
Objectives: Sleep disturbances are prevalent problems among human immunodeficiency virus (HIV)-infected persons. The recognition of comorbid sleep disorders in patients with HIV is currently hampered by limited knowledge of sleep-related symptoms, sleep architecture, and types of sleep disorders in this population. We aimed to compare the differences in sleep-related symptoms and polysomnography-based sleep disorders between HIV-infected persons and controls. Methods: The study evaluated 170 men with a Pittsburgh sleep quality index scores greater than 5, including 44 HIV-infected men and 126 male controls who were frequency-matched by sex, age (±3.0 years) and BMI (±3.0 kg/m<sup>2</sup>). For all participants, an overnight sleep study using a Somte V1 monitor was conducted. Differences in sleep-related symptoms and sleep disorders between HIV-infected patients and controls were examined using t-tests or chi-square tests. Results: HIV-infected persons with sleep disturbances more often had psychological disturbances (72.7% vs. 40.5%, <i>p</i> < 0.001) and suspected rapid eye movement behavior disorder (25.0% vs. 4.8%, <i>p</i> < 0.01) than controls. Sleep-disordered breathing was less common in HIV-infected persons than in controls (56.8% vs. 87.3%, <i>p</i> < 0.001). The mean percentage of rapid eye movement sleep was higher among HIV-infected patients than among controls (20.6% vs. 16.6%, <i>p</i> < 0.001). Nocturia was more common in HIV-infected persons than in controls (40.9% vs. 22.2%, <i>p</i> = 0.02). Conclusions: Psychological disturbances and sleep-disordered breathing can be possible explanations of sleep disturbances in HIV-infected persons in whom sleep-disordered breathing is notable. Further studies are warranted to examine the underlying factors of rapid eye movement behavior disorder among HIV-infected persons with sleep disturbances. |
format |
article |
author |
Yen-Chin Chen Chang-Chun Chen Patrick J. Strollo Chung-Yi Li Wen-Chien Ko Cheng-Yu Lin Nai-Ying Ko |
author_facet |
Yen-Chin Chen Chang-Chun Chen Patrick J. Strollo Chung-Yi Li Wen-Chien Ko Cheng-Yu Lin Nai-Ying Ko |
author_sort |
Yen-Chin Chen |
title |
Differences in Sleep Disorders between HIV-Infected Persons and Matched Controls with Sleep Problems: A Matched-Cohort Study Based on Laboratory and Survey Data |
title_short |
Differences in Sleep Disorders between HIV-Infected Persons and Matched Controls with Sleep Problems: A Matched-Cohort Study Based on Laboratory and Survey Data |
title_full |
Differences in Sleep Disorders between HIV-Infected Persons and Matched Controls with Sleep Problems: A Matched-Cohort Study Based on Laboratory and Survey Data |
title_fullStr |
Differences in Sleep Disorders between HIV-Infected Persons and Matched Controls with Sleep Problems: A Matched-Cohort Study Based on Laboratory and Survey Data |
title_full_unstemmed |
Differences in Sleep Disorders between HIV-Infected Persons and Matched Controls with Sleep Problems: A Matched-Cohort Study Based on Laboratory and Survey Data |
title_sort |
differences in sleep disorders between hiv-infected persons and matched controls with sleep problems: a matched-cohort study based on laboratory and survey data |
publisher |
MDPI AG |
publishDate |
2021 |
url |
https://doaj.org/article/32c6105352904ece9f02a22560ac4999 |
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